Active NPI
Health Psychology Medicine
- Clinical Psychologist
- Long Beach, CA
National Provider Identifier
1497899587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- BU20210972
- Legal business name
- HEALTH PSYCHOLOGY MEDICINE
- Practice address
- 1040 Elm Ave Ste 203
Long Beach, CA 90813-3266 - Phone
- (562) 279-1476
- Fax
- (562) 279-0211
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oscar Cruza
- Title
- Director
- Phone
- (562) 279-1476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | BU20210972 | CA | Primary |
Addresses
Primary practice location
1040 Elm Ave Ste 203
Long Beach, CA 90813-3266
Mailing address
1040 Elm Ave. Suite 203
Long Beach, CA 90813
National Provider Directory
National Provider DirectoryLocations
1040 Elm Ave
Ste 203
Long Beach, CA 90813
Phone (562) 279-1476
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Long Beach, CA
- NPI 1710012109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497899587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 ELM AVE. SUITE 203",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 ELM AVE STE 203",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133266",
"telephone_number": "562-279-1476",
"fax_number": "562-279-0211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH PSYCHOLOGY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRUZA",
"authorized_official_first_name": "OSCAR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "562-279-1476"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "BU20210972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.